Advances in radiation oncology for the management of oropharyngeal tumors

Otolaryngol Clin North Am. 2013 Aug;46(4):629-43. doi: 10.1016/j.otc.2013.04.004. Epub 2013 Jun 19.

Abstract

The major benefits of modern radiation therapy (eg, intensity-modulated [x-ray] radiation therapy [IMRT]) for oropharyngeal cancer are reduced xerostomia and better quality of life. Intensity-modulated proton therapy may provide additional advantages over IMRT by reducing radiation beam-path toxicities. Several acute and late treatment-related toxicities and symptom constellations must be kept in mind when designing and comparing future treatment strategies, particularly because currently most patients with oropharyngeal carcinoma present with human papillomavirus-positive disease and are expected to have a high probability of long-term survival after treatment.

Keywords: Head and neck cancer; Intensity-modulated proton therapy; Intensity-modulated radiation therapy; Oropharyngeal tumors; Radiation therapy.

Publication types

  • Review

MeSH terms

  • Chemoradiotherapy
  • Dose Fractionation, Radiation
  • Humans
  • Oropharyngeal Neoplasms / pathology
  • Oropharyngeal Neoplasms / radiotherapy*
  • Radiotherapy, Intensity-Modulated
  • Treatment Outcome